16 Questions
What is the recommended treatment for urge incontinence?
Vaginal estrogen
What is the recommended management for a patient with a cystocele who is asymptomatic?
Don't do ANYTHING unless she's symptomatic
What is the appropriate hormone replacement therapy for a 57-year-old female who had a hysterectomy?
Hormone replacement (estrogen), NO progesterone
What is the primary risk factor for developing ovarian neoplasms?
Age
What is the gold standard imaging modality for ovarian neoplasms?
Transvaginal ultrasound
Which tumor is known for secreting estrogen and may present with postmenopausal bleeding?
Granulosa cell (sex cord) tumor
What is Meigs syndrome associated with?
Fibromas
What is the primary treatment for ovarian cancer?
REMOVE ovaries
Which test is most appropriate for diagnosing Trichomonas infection?
KOH wet prep
What is the most appropriate treatment for stress incontinence?
Surgery (sling)
What is the most common cause of vaginal discharge in a 27-year-old female with itching and burning symptoms?
Candida infection
What is the most appropriate procedure for surgical staging for endometrial cancer?
Hysterectomy + bilat salpingo-oophorectomy + para-aortic/pelvic LN dissection
What is the most appropriate initial test for diagnosing candida in a 27-year-old female with vaginal discharge, itching, and burning?
KOH wet prep
What would a wet prep show in a 75-year-old woman with yellow vaginal discharge, vaginal dryness, and discomfort?
Parabasal cells
What is the recommended treatment for Trichomonas infection?
Metronidazole + treat partner
What is the most appropriate next step in management for a 23-year-old woman with vaginal discharge, severe pelvic pain, fever, and tachycardia, who shows cervical motion tenderness and Chandelier’s sign?
IV antibiotics
Test your knowledge on vaginitis and diseases of the vulva with scenarios involving different patient presentations and diagnostic procedures. Learn about common causes like candida, gardnerella vaginalis, and trichomonas, as well as appropriate treatment options.
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